The Costs of Silencing the Self and Divided Self in the Context of Physical Abuse,Racial/Ethnic Identity,and Medication Adherence in Women Living with HIV

Racial/ethnic minority status and physical abuse history are risk factors for higher mortality rates and lower adherence to antiretroviral therapy (ART) in women living with HIV (WLWH) in the United States. The current study tested the hypotheses that minority status and physical abuse history might lead women to silence the self (minimize and hide thoughts and feelings in order to avoid relational conflict, loss, and/or abuse) as measured by the Silencing the Self Scale (STSS), and that STSS might mediate and moderate relationships of physical abuse and racial/ethnic minority status with ART adherence. Divided Self (DS; acting in ways inconsistent with inner thoughts and feelings), an STSS subscale, was targeted for study along with the total STSS score. Participants were 513 women from the U.S. Women’s Interagency HIV Study (M_age?=?46; 387, 75%, Black; 66, 13%, Hispanic; 60, 12%, White). Multiple logistic regressions indicated that across all racial/ethnic groups, physical abuse history related to higher DS and lower adherence. DS significantly mediated relationships between abuse and adherence. Compared to White women, Black women demonstrated worse ART adherence, but had lower total STSS. Racial/ethnic minority women and women with a physical abuse history who had higher DS had lower adherence than other groups. Results indicate that being a racial/ethnic minority or having a history of physical abuse may increase vulnerability to the deleterious effects of DS on ART adherence, findings that can help inform interventions to decrease health disparities in WLWH.

     

Attitudes to cosmetic surgery among ethnic minority groups in Britain: Cultural mistrust,adherence to traditional cultural values,and ethnic identity salience as protective factors

Previous work has suggested that ethnic minority women have more negative attitudes to cosmetic surgery than British Whites, but reasons for this are not fully understood. To overcome this dearth in the literature, the present study asked 250 British Asian and 250 African Caribbean university students to complete measures of attitudes to cosmetic surgery, cultural mistrust, adherence to traditional cultural values, ethnic identity salience, self‐esteem, and demographics. Preliminary analyses showed that there were significant between‐group differences only on cultural mistrust and self‐esteem, although effect sizes were small (d values = .21–.37). Further analyses showed that more negative attitudes to cosmetic surgery were associated with greater cultural mistrust, stronger adherence to traditional values, and stronger ethnic identity salience, although these relationships were weaker for African Caribbean women than for British Asians. These results are discussed in relation to perceptions of cosmetic surgery among ethnic minority women.     

In search of cultural diversity: recent literature in cross-cultural and ethnic minority psychology

The purpose of this study was to identify where the most work on cross-cultural and ethnic minority psychology is being published and who the most productive authors are. The journals that published the most articles on cross-cultural and ethnic minority issues from 1993 to 1999 and the most prolific authors on these issues were identified by PsycINFO. Cross-cultural research is cross-national, whereas ethnic minority research involves groups of color within the United States. The citation impact of these journals and authors was determined from the 1997 Social Sciences Citation Index. The results suggest that there is very limited overlap between the literatures in cross-cultural and ethnic minority psychology. Most of the research in these areas is published in specialty journals, and there is a paucity of this research in prestigious journals. Perceived or actual barriers to publication in prestigious journals may cause some to seek specialty journals as outlets for research on cultural diversity. The top scholars in cross-cultural psychology are primarily men of European ancestry, whereas most of the top scholars in ethnic minority psychology are ethnic minority men and women. Strategies to increase the prominence of cultural diversity in the psychology literature include combining cross-cultural and ethnic minority psychology, increasing the number of editorial board members of prestigious journals having expertise in cultural diversity, and increasing the quality of specialty journals. Psychology will remain ill-equipped to face the challenges of the new millennium without increased attention to cultural diversity.     

The Role of Gender Role Attitudes and Immigrant Generation in Ethnic Minority Women’s Labor Force Participation in Britain

Although substantial research shows that in Britain some ethnic minority women have significantly lower labor force participation (LFP) rates than White British women, even after controlling for demographic characteristics and education levels, little is known about the reasons underlying the remaining ethnic differences. Using nationally representative data (2010–2011), I investigate the role of gender role attitudes in explaining the ethnic as well as generational differences in women’s LFP rates. The results show that after controlling for demographic characteristics and education levels, LFP rates of Pakistani and Bangladeshi women are significantly lower than that of White British women and about half of the ethnic gap can be explained by differences in gender role attitudes. Moreover, I show that the ethnic gap is less pronounced for second generation Pakistani, Bangladeshi, and Indian women whose LFP rates are significantly higher than those of their first generation counterparts. Importantly, the higher LFP rates of second generation South Asian women can be largely explained by their relatively less traditional gender role attitudes. Drawing on my results, public policies could provide appropriate childcare services and flexible work arrangements to alter traditional gender role attitudes, thereby improving minority women’s labor market opportunities.

     

Disability, race/ethnicity and gender: themes of cultural oppression, acts of individual resistance

Community psychologists have called for research on human diversity and interactions between individuals and society with a focus on oppression. This study examines learning disabilities as they co-occur with other sociopolitical minority statuses. We examined dominant cultural narratives of and individual responses to learning disability, race/ethnicity and gender identified by low-income men and women of color with learning disabilities. Our qualitative analysis identified cultural narratives that suggest that: (1a) individuals with learning disabilities are perceived as having an illegitimate impairment and being of lower intellectual ability and unworthy; (1b) having an invisible disability facilitates passing as nondisabled, thereby lessening disability discrimination from within racial/ethnic groups; (1c) having a learning disability detracts from positive gender expectations and exacerbates negative ones; and (1d) gender and racial/ethnic narratives are relevant for individuals with learning disabilities. Our analysis also identified two overarching individual acts of resistance used to thwart internalization of oppressive cultural narratives: (2a) removing self from oppressive environments and (2b) reframing dominant cultural narratives (including discounting the validity of negative messages, using negative narratives for motivation, and engaging in positive self-talk). We discuss findings in relation to extant research and theory and consider implications for research, theory, and practice.     

Treatment of Depression in Disadvantaged Women

Low-income minority women are underrepresented in mental health service settings, yet they are clearly at risk for psychiatric disorders. We staff a clinic specialized in the treatment of depression in economically disadvantaged medical patients. We will share our experience treating disadvantaged and ethnic minority women and will discuss the ingredients necessary to provide quality therapy for these women. We will begin by discussing how poor and minority women access treatment, and the strategies we have used to keep these women in treatment. Then we will consider how services can be made sensitive to the special needs of disadvantaged women, including particular techniques we have found useful in their treatment. Finally, we will discuss common therapeutic issues for these women, as well as successful strategies for helping with the common issues.     

Measuring multiple minority stress: the LGBT People of Color Microaggressions Scale

Lesbian, gay, and bisexual individuals who are also racial/ethnic minorities (LGBT-POC) are a multiply marginalized population subject to microaggressions associated with both racism and heterosexism. To date, research on this population has been hampered by the lack of a measurement tool to assess the unique experiences associated with the intersection of these oppressions. To address this gap in the literature, we conducted a three-phase, mixed method empirical study to assess microaggressions among LGBT-POC. The LGBT People of Color Microaggressions Scale is an 18-item self-report scale assessing the unique types of microaggressions experienced by ethnic minority LGBT adults. The measure includes three subscales: (a) Racism in LGBT communities, (b) Heterosexism in Racial/Ethnic Minority Communities, and (c) Racism in Dating and Close Relationships, that are theoretically consistent with prior literature on racial/ethnic minority LGBTs and have strong psychometric properties including internal consistency and construct validity in terms of correlations with measures of psychological distress and LGBT-identity variables. Men scored higher on the LGBT-PCMS than women, lesbians and gay men scored higher than bisexual women and men, and Asian Americans scored higher than African Americans and Latina/os.     

Race/ethnicity and sexual orientation: intersecting identities

Racial/ethnic minority women who come to identify as lesbian must confront the norms and expectations of both the majority and minority cultures in which they live. This article reports findings from a diverse sample of nearly 450 women and examines the effects of race/ethnicity on sexual identity development in African American, Latina, and White lesbians. African American and Latina respondents differed little in the timing and disclosure of lesbian identity; comparisons between women of color and White women revealed substantial variability. Findings are discussed in terms of their implications for practice with lesbians of color.     

La représentation des groupes ethnoculturels dans la région montréalaise: vers une participation politique accrue?

This article analyzes the issue of the representation of ethnic minority groups and women in 11 city councils located in the Montreal metropolitan area. The first part sets out the major debates concerning the representation of groups that have traditionally not been very present in the political process. The second segment considers the representation of ethnic minority groups and women in city councils located in the Montreal region according to a quantitative perspective. Methodological precautions and analysis of the results bring to an end the second part. In conclusion, this article puts forward some discussions about the possible means or ways to increase the representation of ethnic groups, particularly visible minority groups, and favour their political integration.     

Workplace harassment: double jeopardy for minority women

To date there have been no studies of how both sex and ethnicity might affect the incidence of both sexual and ethnic harassment at work. This article represents an effort to fill this gap. Data from employees at 5 organizations were used to test whether minority women are subject to double jeopardy at work, experiencing the most harassment because they are both women and members of a minority group. The results supported this prediction. Women experienced more sexual harassment than men, minorities experienced more ethnic harassment than Whites, and minority women experienced more harassment overall than majority men, minority men, and majority women.     

The Puzzle of High Self-esteem Among Ethnic Minorities: Comparing Explicit and Implicit Self-esteem

This paper examines the puzzle of high self-esteem among ethnic minorities by making a distinction between the personal self and the collective self and between explicit and implicit self-esteem. The study was conducted among three groups of early adolescents: Dutch, Turkish-Dutch (of Turkish origin and living in the Netherlands), and Turkish participants living in Turkey. It was found that the Turkish-Dutch had scores similar to the Turks in Turkey except for measures of implicit collective self-esteem. Furthermore, the percentage of participants with high explicit and low implicit collective self-esteem was significantly greater among the Turkish-Dutch than among the other two samples. Additionally, for the Turkish-Dutch, perceived discrimination was negatively related to implicit collective self-esteem but not to other self-esteem measures. It is concluded that the distinctions between the personal and the collective self and between explicit and implicit self-esteem can improve our understanding of the psychological development of disadvantaged ethnic minority groups, and assist in making sense of otherwise puzzling findings in the literature.     

Unions as Justice-Promoting Organizations: The Interactive Effect of Ethnicity,Gender, and Perceived Union Effectiveness

This study explored the interactive effect ofmembers' ethnicity, gender, and perceived unioneffectiveness in promoting fairness on formal unionparticipation. Research on union participation suggests that formal participation is lowest amongethnic minority and women members. It was predicted andfound that the relationship between perceived unioneffectiveness and formal participation is jointlymoderated by ethnicity and gender. The nature of thetriple interaction was such that the relationshipbetween perceived effectiveness and formal participationwas strongest for ethnic minority women (n = 102), next strongest for nonethnic minority women (n =300) and nonethnic minority men (n = 734), and weakestfor ethnic minority men (n = 82).     

Physical and Sexual Victimization Predicts Suicidality among Women in Prison: Understanding Ethnic and Trauma-Specific Domains of Risk

Few studies have addressed the association between specific forms of trauma and suicidality among incarcerated women. This study examined domains of trauma as predictors of suicidality, and also evaluated ethnicity as a moderator of the association between physical and sexual victimization and suicidality. Participants were 224 treatment-seeking incarcerated women who completed self-report measures of trauma exposure, suicidal behavior, and ethnicity. Women in this sample reported significant histories of trauma exposure and suicidal behavior, and physical and sexual victimization significantly predicted suicidality. Ethnicity moderated this association such that there was a significant positive association between victimization and suicidality for European-American women; however, this association was not statistically significant for ethnic minority women. These findings demonstrate the specific risk conferred by physical and sexual victimization and European-American ethnicity among women in prison.     

Psychoanalysis’s Cultural Dissociation Meets Ethnic Minorities: Reply to Commentary by Kimberlyn Leary

Dr. Leary highlighted variance within ethnic culture in her commentary, but I wished she had spoken instead about cultural trauma. My paper was about trauma-based dissociative process: Some immigrant women attempt to bury their ethnic cultural experiences deeply into their psychic shadows, as elements of their culture’s values and practices constitute aspects of the very nature of their trauma. Leary’s notion of race as an adaptive challenge brings to attention the importance of making explicit racial “loyalties, values, and habits” in clinical situations. I argue strongly that psychoanalysis has dissociated its cultural identity, making its encounters with ethnic minorities that much more problematic. I ask on the behalf of ethnic minority patients (and ethnic minority mental health practitioners and graduate students), What could be gained if psychoanalysis could reveal and own its cultural identity?     

Documenting the Adverse Impact of Résumé Screening: Degree of ethnic identification matters

We investigated the adverse impact of résumé screening, taking into account the intersectionality of minority characteristics. A correspondence audit test showed hiring discrimination depended on the strength of applicants' ethnic identification. The odds for rejection were 4–6 times higher for résumés with ethnic minority identifiers (Arab names; Arab affiliations) when compared with ethnic majority identifiers (Dutch names; Dutch affiliations). Sex moderated the ethnicity effect but the particular effect (ethnic prominence; double jeopardy against women or men) depended on the type and degree of ethnic identification, lending support for a within‐category approach to study ethnic prejudice. The four‐fifths rule resulted in similar findings. Theoretical implications regarding the intersectional effects of minority characteristics and practical implications regarding ways to avert adverse impact during résumé screening are discussed.     

Found Voices:

This article explores the cultural consequences of disability on women. The author interviewed four women with disabilities and two mothers and shares some of her own experiences with disability. The relationship between disability rights and feminism and ethnic identity and the impact of disability on the sense of self and personal goals are considered, as is the transformative power of speaking to the larger culture about how disability experiences inform human perceptions and social practices.     

Clients' ratings of counselor multicultural competency

Differences in perceptions between Euro American and ethnic minority respondents were examined to compare the role of counselor multicultural competency in multicultural versus traditional counseling. Results showed a strong positive correlation between clients' ratings of counselors' multicultural competencies and clients' ratings of counselors' general competency and empathy. However, when comparisons were made between Euro American and ethnic minority clients' on satisfaction, counselor multicultural competency explained a large and significant amount of variance for the ethnic minority sample only, above and beyond counselor general competency and empathy. Results are discussed in the context of relevant literature and suggestions for future research.     

Special Issues in Psychotherapy with Minority Deaf Women

Abstract

Minority Deaf women have been traditionally underserved by mental health professionals, and specifically, therapists are unaware of issues unique to this population. It would be highly unlikely for a minority Deaf woman to have a therapist who matches her in racial background, hearing status, and communication mode. Therefore, the therapy process will be completely cross-cultural. Therapists who provide psychotherapy services to minority Deaf women need to be aware that their clients are members of a community where deafness is a culture and not a disability. Minority Deaf women are also likely to report feeling forced to choose between competing identities in order to get important needs met. In the following article, case examples are provided which illustrate some of the major issues that are likely to arise in therapy with minority Deaf women. These issues include: access to important information; communication, support and level of involvement with biological families; competing cultural demands; health concerns; and coping with chronic mental illness.